小切口切除术联合持续负压封闭引流对浆细胞性乳腺炎患者的影响  

Effect of Small Incision Resection Combined with Continuous Closed Suction Drainage on the Efficacy and Breast Damage Rate in Patients with Plasma Cell Mastitis

作　　者：杨荔[1] 张淑群[1] 王力[1] 郭爱宁[1] 苏佩佩 陈影 詹萌 Yang Li;Zhang Shuqun;Wang Li;Guo Aining;Su Peipei;Chen Ying;Zhan Meng(The Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,China)

机构地区：[1]西安交通大学第二附属医院,西安710004

出　　处：《成都医学院学报》2024年第5期864-867,共4页Journal of Chengdu Medical College

摘　　要：目的探究小切口切除术联合持续负压封闭引流对浆细胞性乳腺炎(PCM)患者疗效、乳房毁损率及换药次数的影响。方法选取2016年6月至2021年6月西安交通大学第二附属医院收治的PCM女性患者163例作为研究对象,随机将其分为试验组(75例)和对照组(88例)。对照组患者采用持续负压封闭引流进行治疗,试验组在对照组基础上联合使用小切口切除术,对比两组患者的临床疗效、乳房完整性、手术指标、不良反应及复发率情况。结果对照组总有效率(86.36%)低于试验组(97.33%)(P<0.05);乳房完整性比较,试验组优秀的占52.00%,差的占1.33%;对照组优秀的占31.82%,差的占11.36%,试验组乳房完整性优于对照组(P<0.05);试验组手术时间、切口长度和愈合时间均优于对照组(P<0.05);试验组不良反应发生率(4.00%)低于对照组(6.82%),差异无统计学意义(P>0.05);试验组复发率(2.67%)低于对照组(14.77%)(P<0.05)。结论小切口切除术联合持续负压封闭引流能提高PCM患者的临床疗效,降低乳房毁损率。Objective To explore the effect of small incision resection combined with continuous closed suction drainage on the efficacy,breast damage rate and dressing change frequency in patients with plasma cell mastitis(PCM).Methods A total of 163 female patients with PCM in the Second Affiliated Hospital of Xi'an Jiaotong University from June 2016 to June 2021 were randomly grouped into an experimental group(n=75)and a control group(n=88).The control group was treated with continuous closed suction drainage,while the experimental group received small incision resection on the basis of continuous closed suction drainage.The clinical efficacy,breast integrity,surgical indicators,adverse reactions,and recurrence rate were compared between the two groups.Results The total effective rate in the control group(86.36%)was lower than that in the experimental group(97.33%)(P<0.05).As to breast integrity,52.00%were excellent and 1.33%were poor in the experimental group,while 31.82%were excellent and 11.36%were poor in the control group,indicating that the breast integrity in the experimental group was better than that in the control group(P<0.05).The operative duration,incision length and healing time in the experimental group were better than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(4.00%in experimental group and 6.82%in the control group)(P>0.05).The recurrence rate in the experimental group(2.67%)was lower than that in the control group(14.77%)(P<0.05).Conclusion Small incision resection combined with continuous closed suction drainage can improve the clinical efficacy and reduce the breast damage rate in the treatment of PCM patients.

关 键 词：小切口切除术 持续负压封闭引流 浆细胞性乳腺炎 乳房毁损率 

分 类 号：R655.8[医药卫生—外科学]